Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study
We described disruptions in cancer-related healthcare appointments and perceived quality of healthcare during the COVID-19 pandemic and identified predictors, including socioeconomic factors, of perceived quality of healthcare among cancer survivors. In this cross-sectional study, we used 2021 Healt...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-04-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580251330361 |
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| author | Erica S. Stephens BA Jun Tao PhD Jereme Corbin MS Aimée R. Kreimer PhD Jennifer K. McGee-Avila PhD, MPH Michelle Doose PhD, MPH Siddharth Roy PhD Meredith S. Shiels PhD, MHS Jaimie Z. Shing PhD, MPH |
| author_facet | Erica S. Stephens BA Jun Tao PhD Jereme Corbin MS Aimée R. Kreimer PhD Jennifer K. McGee-Avila PhD, MPH Michelle Doose PhD, MPH Siddharth Roy PhD Meredith S. Shiels PhD, MHS Jaimie Z. Shing PhD, MPH |
| author_sort | Erica S. Stephens BA |
| collection | DOAJ |
| description | We described disruptions in cancer-related healthcare appointments and perceived quality of healthcare during the COVID-19 pandemic and identified predictors, including socioeconomic factors, of perceived quality of healthcare among cancer survivors. In this cross-sectional study, we used 2021 Health Information National Trends Survey-Surveillance, Epidemiology, and End Results data from Iowa, Greater Bay Area (California), and New Mexico cancer registries. Among cancer survivors who visited a healthcare provider in the past 12-months (N = 1130), we reported weighted prevalence of disruptions in (cancelled and/or changed to telehealth) routine cancer screening, disruptions in cancer treatment or follow-up, and perceived quality of healthcare, by registry. Using logistic regression, we identified predictors associated with perceived quality of healthcare, adjusting for sex and age. Among cancer survivors with scheduled appointments, 25.0% (Iowa) to 39.6% (California) reported disrupted cancer screening and 16.6% (Iowa) to 33.9% (California) reported disrupted treatment or follow-up related to their cancer diagnosis. 12.5% (Iowa) to 22.5% (New Mexico) of survivors perceived suboptimal quality of healthcare. Survivors with disrupted cancer screening, lower education and income, longer wait times for results, did not spend enough time with their doctor, and did not receive assistance with health uncertainty had increased odds of perceiving suboptimal quality of healthcare (odds ratio range = 2.64-19.31). Disruptions in cancer screening, lower socioeconomic status, and negative patient experiences were associated with poorer perceived quality of healthcare. Continued efforts are needed to address existing disparities to ensure equitable access to quality of healthcare post-pandemic. |
| format | Article |
| id | doaj-art-5aa95b66e6824912bad798ae8b8cb7d0 |
| institution | DOAJ |
| issn | 0046-9580 1945-7243 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj-art-5aa95b66e6824912bad798ae8b8cb7d02025-08-20T02:55:56ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432025-04-016210.1177/00469580251330361Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional StudyErica S. Stephens BA0Jun Tao PhD1Jereme Corbin MS2Aimée R. Kreimer PhD3Jennifer K. McGee-Avila PhD, MPH4Michelle Doose PhD, MPH5Siddharth Roy PhD6Meredith S. Shiels PhD, MHS7Jaimie Z. Shing PhD, MPH8National Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USAGeorgetown University, Washington, DC, USANational Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USANational Cancer Institute, Rockville, MD, USAWe described disruptions in cancer-related healthcare appointments and perceived quality of healthcare during the COVID-19 pandemic and identified predictors, including socioeconomic factors, of perceived quality of healthcare among cancer survivors. In this cross-sectional study, we used 2021 Health Information National Trends Survey-Surveillance, Epidemiology, and End Results data from Iowa, Greater Bay Area (California), and New Mexico cancer registries. Among cancer survivors who visited a healthcare provider in the past 12-months (N = 1130), we reported weighted prevalence of disruptions in (cancelled and/or changed to telehealth) routine cancer screening, disruptions in cancer treatment or follow-up, and perceived quality of healthcare, by registry. Using logistic regression, we identified predictors associated with perceived quality of healthcare, adjusting for sex and age. Among cancer survivors with scheduled appointments, 25.0% (Iowa) to 39.6% (California) reported disrupted cancer screening and 16.6% (Iowa) to 33.9% (California) reported disrupted treatment or follow-up related to their cancer diagnosis. 12.5% (Iowa) to 22.5% (New Mexico) of survivors perceived suboptimal quality of healthcare. Survivors with disrupted cancer screening, lower education and income, longer wait times for results, did not spend enough time with their doctor, and did not receive assistance with health uncertainty had increased odds of perceiving suboptimal quality of healthcare (odds ratio range = 2.64-19.31). Disruptions in cancer screening, lower socioeconomic status, and negative patient experiences were associated with poorer perceived quality of healthcare. Continued efforts are needed to address existing disparities to ensure equitable access to quality of healthcare post-pandemic.https://doi.org/10.1177/00469580251330361 |
| spellingShingle | Erica S. Stephens BA Jun Tao PhD Jereme Corbin MS Aimée R. Kreimer PhD Jennifer K. McGee-Avila PhD, MPH Michelle Doose PhD, MPH Siddharth Roy PhD Meredith S. Shiels PhD, MHS Jaimie Z. Shing PhD, MPH Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study |
| title_full | Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study |
| title_fullStr | Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study |
| title_full_unstemmed | Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study |
| title_short | Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study |
| title_sort | suboptimal quality of health care and associated socioeconomic factors among cancer survivors during the covid 19 pandemic a cross sectional study |
| url | https://doi.org/10.1177/00469580251330361 |
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